Does superficial gastritis infected with Helicobacter pylori need treatment?

Written by Huang Gang
Gastroenterology
Updated on January 13, 2025
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Superficial gastritis, after infection with Helicobacter pylori, requires treatment. If not actively symptomatic treated, the condition can worsen and frequently relapse, increasing the risk of malignancy. For superficial gastritis with Helicobacter pylori, initial treatment can involve natural therapies to control and eradicate Helicobacter pylori completely. Subsequently, based on individual clinical symptoms, treatment should focus on chronic superficial gastritis. Regular maintenance primarily involves being cautious with diet, avoiding spicy foods, and refraining from consuming food that is too cold, too sweet, too hard, or too acidic, as well as overly stimulating foods.

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Written by Ren Zheng Xin
Gastroenterology
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Which department checks for Helicobacter pylori?

Current research suggests that Helicobacter pylori infection is the primary cause of various gastric diseases. It is best to visit the gastroenterology department of a hospital to check for Helicobacter pylori, where a Carbon-14 breath test can be conducted to determine the amount of Helicobacter pylori in the stomach. If there is a high quantity of bacteria, or if there are gastrointestinal diseases present, one might consider a treatment to eradicate Helicobacter pylori. This generally involves the use of two types of antibiotics along with a gastric mucosal protector or a medication that inhibits stomach acid secretion. It is also important to regularly follow up, maintain a regular diet, and avoid spicy and irritating foods.

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Written by Jiang Guo Ming
Gastroenterology
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What are the symptoms of Helicobacter pylori infection?

Helicobacter pylori is a pathogen produced in the stomach or oral cavity. It cannot be said that Helicobacter pylori causes any specific symptoms, rather, it is the infection of Helicobacter pylori that leads to a series of diseases presenting symptoms. Some people infected with Helicobacter pylori may not show any symptoms at all. If related diseases occur, such as gastritis or ulcers, symptoms such as acid reflux, heartburn, nausea, and vomiting may appear. Additionally, some patients, like those with refractory iron deficiency anemia or idiopathic thrombocytopenic purpura, may also have conditions associated with Helicobacter pylori infection.

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Written by Yang Chun Guang
Gastroenterology
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Can a gastroscopy detect Helicobacter pylori?

Helicobacter pylori is a type of bacterium that can easily infect and cause chronic gastritis, and it even has the potential to lead to cancer. Therefore, patients with Helicobacter pylori generally require formal treatment. In terms of diagnostics, Helicobacter pylori can be detected through a gastroscopy, but the bacteria cannot be detected by gastroscopy alone; the test for Helicobacter pylori is performed under the scope. However, the current main method for testing Helicobacter pylori is through a breath test, since undergoing a gastroscopy just to test for the bacteria can be quite uncomfortable. Moreover, the accuracy of the breath test is relatively high, so currently, Helicobacter pylori is generally detected via breath testing rather than gastroscopy.

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Written by Wang Jing Bin
Gastroenterology
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How to treat Helicobacter pylori positivity?

A positive test for Helicobacter pylori requires distinguishing the specific method used for detection. If it is a positive result from a Helicobacter pylori antibody test, a breath test, including both the Carbon-14 and Carbon-13 breath tests, should be conducted. If the breath test comes back positive, further examinations are necessary, including gastroscopy and analysis of Helicobacter pylori virulence factors. The analysis of virulence factors can help determine if the Helicobacter pylori infection is highly toxic. If positive, it may indicate a potential for severe gastric diseases and necessitate treatment. For individuals with a positive Helicobacter pylori breath test, a gastroscopy is also recommended, as it is the only way to precisely determine the type of gastric disease present, such as ulcers or gastritis. Depending on the gastroscopy results, some individuals may need eradication treatment for Helicobacter pylori, especially those with a history of gastric ulcers, a family history of gastric cancer, gastric polyps, erosive gastritis, or gastric mucosa-associated lymphoid tissue lymphoma. Others, if the virulence factor analysis is negative, might not require immediate treatment for Helicobacter pylori. However, if a patient insists on treatment for Helicobacter pylori, it can be considered, but it must be clear that there are risks involved and that the treatment should be conducted properly. Finally, treatment for Helicobacter pylori is not recommended for minors, i.e., individuals under 18 years of age.

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Written by Wang Hui Jie
Gastroenterology
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Can gastroscopy detect Helicobacter pylori?

Helicobacter pylori is a type of bacterium, hence it is invisible to the naked eye. However, during a gastroscopy, the gastroenterologist can infer whether a patient is infected with Helicobacter pylori by observing the mucosal appearance under the endoscope. For example, signs such as the disappearance of damages in the tiny veins, nodular changes resembling chicken skin, scattered congested spots, and others. To confirm the presence of a Helicobacter pylori infection, further tests are required. For instance, during a gastroscopy, a rapid urease test can be conducted where a tissue sample from the stomach is tested - this method is quite convenient. Alternatively, a tissue sample can be sent for pathological examination, which might take longer.